Philosophy Ethics and Humanities in Medicine最新文献

{"title":"The relationship between swamps and malaria: a review of the studies titled The Sanitary and Social Geography of Turkey.","authors":"Cihat Tanış","doi":"10.1186/s13010-026-00230-5","DOIUrl":"10.1186/s13010-026-00230-5","url":null,"abstract":"<p><p>This study examines the multidimensional impact of infectious diseases on societies through the case of malaria, with particular emphasis on the anti-malaria campaigns implemented in Türkiye during the early Republican period within the framework of the studies titled The Sanitary and Social Geography of Turkey. These works constitute primary-source materials that systematically document the country's health conditions, social structure, and geographical characteristics during the early years of the Republic. In this study, data on swamps and malaria contained in these publications were analysed through a systematic document analysis and regional comparative approach. The findings demonstrate that the relationship between swamps and malaria varied considerably across provinces. While a strong positive association was identified along the Mediterranean and Aegean coasts and in the major river deltas, this relationship was substantially weaker in the high-altitude regions of Eastern Anatolia. Furthermore, the effectiveness of swamp-drainage programmes in controlling malaria remained limited due to factors such as fragmented implementation, recurrent flooding, and irrigation projects. The analysis also indicates that agricultural activities, particularly rice cultivation, contributed to the spread of malaria by creating artificial swamp environments. Consequently, malaria control emerged as a central policy domain during the early Republican period, becoming closely integrated with the state's broader strategies of nation-building and socio-economic development.</p>","PeriodicalId":56062,"journal":{"name":"Philosophy Ethics and Humanities in Medicine","volume":"21 1","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13536688/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148876715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reconceptualizing the ethics of diagnosis: a Foucauldian framework.","authors":"Antonia Sahm","doi":"10.1186/s13010-026-00227-0","DOIUrl":"10.1186/s13010-026-00227-0","url":null,"abstract":"<p><strong>Background: </strong>Traditional approaches in medical ethics have primarily focused on the consequences of diagnoses, emphasizing their impact on patients' lives, treatment options, and social perception. While this perspective remains indispensable, it is limited in its consideration of the conditions under which diagnostic categories are created and applied. However, understanding these processes is essential, as they shape not only individual patient experiences but also broader social norms and the framework conditions of health systems.</p><p><strong>Methods: </strong>Drawing on Michel Foucault's work, this paper examines the intersection between epistemic authority and ethics in the production of medical knowledge. Foucault's analyses of medicine reveal how diagnostic practices are not purely objective but are embedded in institutional frameworks that regulate the production and application of medical knowledge. This perspective resonates with recent discussions in medical ethics such as epistemic injustice. However, as these often converge with Foucault's ideas, his work provides a suitable basis for a comprehensive examination of the way in which diagnoses are handled.</p><p><strong>Results: </strong>Diagnoses are not merely neutral descriptions of objective biological phenomena, but emerge from specific epistemic and institutional frameworks that structure medical knowledge. A Foucauldian lens allows for the formulation of critical questions that encourage a shift in perspective, from evaluating only the consequences of diagnoses to interrogating the processes that produce and validate them. This approach highlights the ethical significance of medical epistemology itself and its influence on patient care, social norms, and health governance.</p><p><strong>Conclusions: </strong>Ethical analysis in medicine must extend beyond the immediate effects of diagnosis. Attention to the production and structuring of medical knowledge is necessary to fully understand how diagnoses influence patients' experiences, shape social expectations, and reinforce systems of power. With the help of a Foucauldian Shift, medical ethics can more comprehensively address the moral dimensions of diagnosis, moving from consequences to the broader conditions that generate them.</p>","PeriodicalId":56062,"journal":{"name":"Philosophy Ethics and Humanities in Medicine","volume":"21 1","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13435654/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148671412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reconstructing Al-Farabi's ethical framework in contemporary bioethics: genetics, reproduction, and technological challenges.","authors":"Nurgul Tattibek, Meirgul Ungarova, Asset Kuranbek, Jakipbek Altayev","doi":"10.1186/s13010-026-00224-3","DOIUrl":"10.1186/s13010-026-00224-3","url":null,"abstract":"<p><strong>Background: </strong>Contemporary bioethics operates within pluralistic societies, where ethical reasoning is not confined to prescriptive frameworks but rather involves deliberation across competing moral perspectives. Although the dominant approaches remain largely Western, there has been an increasing interest in integrating non-Western philosophical traditions. This study examines whether Al-Farabi's ethical framework can contribute to contemporary bioethical discourse without assuming direct conceptual equivalence.</p><p><strong>Methods: </strong>The study employed a sequential mixed-methods design integrating lexical analysis, hermeneutic reconstruction, and empirical validation. A corpus of seven key works by Al-Farabi, including The Attainment of Happiness and The Virtuous City, was analysed to identify recurring ethical concepts. These concepts were then subjected to contextual hermeneutic interpretation and subsequently operationalised into survey constructs. Data were collected from 265 medical and bioethics professionals and analysed using ANOVA, Pearson's correlation, logistic regression, and chi-squared tests.</p><p><strong>Results: </strong>The findings indicate statistically significant, albeit weak, associations between the reconstructed ethical constructs of Al-Farabi and contemporary bioethical attitudes. The justice construct was negatively associated with the acceptance of gene-editing interventions (F(1, 263) = 4.02, p = 0.047; r = - 0.122; odds ratio (OR) = 0.78, 95% confidence interval (CI) [0.62-0.98], p = 0.041; chi-squared (χ²) test, 1 degree of freedom (df), p = 0.047). The virtue construct was positively associated with support for government involvement in reproductive policy (F(1, 263) = 4.18, p = 0.043; r = 0.124; OR = 1.21, 95% CI [1.01-1.45], p = 0.038; χ²(1) = 4.11, p = 0.043). A weak positive correlation was observed between justice and autonomy (r = 0.144, p = 0.019). Model fit remained low (Nagelkerke R² = 0.03-0.06).</p><p><strong>Conclusions: </strong>The results suggest a limited but consistent alignment between the reconstructed elements of Al-Farabi's ethical framework and contemporary bioethical reasoning. While these findings do not indicate conceptual equivalence, they support the inclusion of non-Western philosophical perspectives as complementary analytical resources in bioethics, particularly in deliberative and intercultural contexts.</p>","PeriodicalId":56062,"journal":{"name":"Philosophy Ethics and Humanities in Medicine","volume":"21 1","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13430919/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148671318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An investigation of theoretical model of the relationship between discussion with families and the attitude toward organ donation in Iran: the mediating role of Spiritual Well-Being.","authors":"Hamid Sharif-Nia, Noushin Mousazadeh, Mahnaz Rakhshan, Roghye Nazari, Maryam Dehghani, Hamideh Hakimi, Setayeshi Jafari BenahKhalkhal","doi":"10.1186/s13010-026-00214-5","DOIUrl":"10.1186/s13010-026-00214-5","url":null,"abstract":"<p><strong>Background: </strong>There is still a serious imbalance between the number of organ donors and the number of patients on the transplant list. It is therefore of great importance to assess and strengthen resources to improve people's attitudes towards organ donation. This study examines the possible mediating role of Spiritual Well-Being (SWB) in relation to attitudes towards organ donation and family discussions in Iranian society.</p><p><strong>Methods: </strong>This is a cross-sectional study conducted in Iran in 2022. Participants included 316 members of the Iranian general population aged 18 years and older who participated in the study using convenience sampling methods. Data were collected using a demographic profile form, and the standardized Spiritual Well-Being Scale (SWBS) by Paloutzian and Ellisons, and two researcher-made questionnaire including Attitudes towards organ donation and discuss with family. The researchers used path analysis to analyze the mediation model. All the statistical analyses were done using the SPSS_AMOS 27 software.</p><p><strong>Results: </strong>The majority of participants were single professional women with a bachelor's degree. Pearson correlation test results showed a positive correlation between attitudes towards organ donation and family discussions (r = 0.522, p < 0.001). There was also a positive association between attitudes towards organ donation and SWB (r = 0.247, p < 0.001). Similarly, results indicate a partial association between family discussion and attitudes toward organ donation, which is influenced by the mediating variable SWB and family affected in a manner similar to that seen for the variable 'discussing with'. And 'attitudes toward organ donation' are mediated by varying SWB (B = 0.227, p < 0.009). SWB and discuss with family explain 30% of the variance.</p><p><strong>Conclusion: </strong>Attitudes toward organ donation were directly influenced by discuss with family members and improved by SWB accordingly. This study suggests that SWB is integral to attitudes towards organ donation in Iranian society.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":56062,"journal":{"name":"Philosophy Ethics and Humanities in Medicine","volume":"21 1","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13335325/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148400193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assess the level of adherence to nursing ethical principles among nurses at Imam Khomeini Hospital in Saqqez in 2024.","authors":"Azin Hasani, Loghman Khaninezhad, Soheil Rezaie","doi":"10.1186/s13010-026-00225-2","DOIUrl":"10.1186/s13010-026-00225-2","url":null,"abstract":"<p><strong>Background and aim: </strong>Commitment to professional ethical principles is one of the fundamental pillars in improving the quality of nursing care and preserving patients' human dignity. Given the key role of nurses in direct interaction with patients, examining the extent of adherence to nursing ethics in clinical settings is of great importance. Considering the significance of ethics in nursing practice, this study was conducted to assess the level of adherence to nursing ethical principles among nurses at Imam Khomeini Hospital in Saqqez in 2024.</p><p><strong>Methods: </strong>This descriptive-analytical study was performed on 118 nurses working at Imam Khomeini Hospital in Saqqez in 2024, selected through simple random sampling. The data collection tools included a demographic information questionnaire and a standard questionnaire assessing nurses' adherence to professional ethical codes. Data were analyzed using SPSS version 27 with descriptive and inferential statistics.</p><p><strong>Results: </strong>The findings showed that 61.86% of the nurses had a moderate level of ethical performance. The highest adherence to professional ethical codes was observed in the domain of \"nurses and professional commitments\" (58.79 ± 1.01), while the lowest was in the domain of \"nurse and colleague\" (8.18 ± 0.95).</p><p><strong>Conclusion: </strong>The results of this study indicated that the level of adherence to professional ethics among nurses at Imam Khomeini Hospital in Saqqez is mostly moderate. This can be considered a warning sign regarding the quality of nursing care and patient satisfaction. Despite relatively favorable performance in the area of professional commitment, weaknesses in interpersonal communication, especially in the nurse-colleague domain, require special attention. It is therefore recommended that continuous training and retraining programs in professional ethics be developed and implemented to improve nurses' ethical awareness and skills, enhance interprofessional interactions, and promote ethical-based care.</p>","PeriodicalId":56062,"journal":{"name":"Philosophy Ethics and Humanities in Medicine","volume":"21 1","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13339848/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148400152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Humanistic thought in medical dao: a cross-cultural perspective of global medical humanities.","authors":"Yuan Li, Yajun Cheng","doi":"10.1186/s13010-026-00223-4","DOIUrl":"10.1186/s13010-026-00223-4","url":null,"abstract":"<p><p>Rooted in \"the real human being and their practice\", the humanistic thought of Traditional Chinese Medicine (TCM) encompasses four core dimensions: the Theory of Valuing Life and Attaining Sagehood, the Theory of Temperament and Human Nature, the Theory of Subject Mutual Benefit, and the Theory of Body-State Synchronism. It provides crucial support for the mutual learning of Chinese and Western medical humanities. The Theory of Valuing Life and Attaining Sagehood resonates with Western bioethics while adding a unique dimension of spiritual self-cultivation; the Theory of Temperament and Human Nature aligns with the precision medicine paradigm and complements the perspective of cultural ethical examination; the Theory of Subject Mutual Benefit firmly opposes the objectification of patients and theoretically expands the Western concept of \"patient-centered care\"; the Theory of Body-State Synchronism integrates individual physical and mental health with collective public well-being, aligning with the core values of contemporary global health governance. As an ideological system deeply embedded in Chinese civilization, it takes the Qi ontology and Yin-Yang balance as its profound metaphysical foundation, constructing a holistic medical humanistic paradigm independent of the Western biomedical model. In the contemporary academic context where medical humanities are moving toward pluralistic coexistence, the value of non-Western medical traditions has attracted increasing scholarly attention. It can not only enrich the Western medical humanistic tradition through cross-cultural dialogue but also provide solid ethical support for the global dissemination and clinical practice of TCM, ultimately realizing two-way mutual learning, complementarity and symbiosis between Eastern and Western medical humanities across cultures.</p>","PeriodicalId":56062,"journal":{"name":"Philosophy Ethics and Humanities in Medicine","volume":"21 1","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13321590/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148370968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Moral diversity and the challenge of responsibility in AI-CDSS.","authors":"Wenke Liedtke, Martin Langanke","doi":"10.1186/s13010-026-00226-1","DOIUrl":"10.1186/s13010-026-00226-1","url":null,"abstract":"<p><p>The increasing integration of artificial intelligence in clinical decision support systems (AI-CDSS) has fueled expectations of more personalized and effective diagnostics and therapies. By incorporating machine learning methods, AI-CDSS promise enhanced predictive accuracy, improved stratification, and innovative individualized care. However, this technological optimism is accompanied by complex ethical challenges, including issues of explainability, trust, autonomy, and data security. At the core of these debates lies the question of responsibility, which involves both its attribution and diffusion, as well as the underlying normative standards guiding moral action. In the context of healthcare practice, responsibility is further complicated by moral diversity-the coexistence of varying moral values, cultural beliefs, and ethical frameworks among healthcare professionals, patients, and institutional stakeholders. This plurality challenges the establishment of a unified normative standard necessary for ethically sound responsibility attribution. This paper offers an analysis of moral diversity and AI-CDSS as a challenge for responsibility in healthcare environments. Using a relational concept of responsibility the study examines key areas in which moral diversity affects responsibility in AI-mediated decision-making. This includes algorithmic bias, healthcare professional and patient interaction and the role of patients. Through these examples, the paper explains how different normative standards intensify ethical complexity in AI-supported clinical contexts. It argues that greater ethical sensitivity to moral diversity is essential-both in the development of AI-CDSS and in their application within morally value-laden healthcare situations.</p>","PeriodicalId":56062,"journal":{"name":"Philosophy Ethics and Humanities in Medicine","volume":"21 1","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13321450/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148371017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Disintegrating ipseity: a gerontological exegesis of Alzheimer's disease and relational identity in Alice Munro's fiction.","authors":"Farman Ullah, Shihong Du, Wen Jin, Yasir Ali Nagar","doi":"10.1186/s13010-026-00217-2","DOIUrl":"10.1186/s13010-026-00217-2","url":null,"abstract":"<p><strong>Background: </strong>Alzheimer's is a progressive disorder of the brain that gradually affects memory, personality, behaviour, identity, and interpersonal relationships, particularly among older adults. Alice Munro's novella \"The Bear Came Over the Mountain\" offers a compelling literary framework for exploring these impacts through narrative gerontology, a lens that emphasizes storytelling's role in shaping identity and relational bonds during ageing and illness.</p><p><strong>Method: </strong>This study applies narrative gerontology to analyze Munro's depiction of Alzheimer's, focusing on the experiences of Fiona and Grant. Through detailed textual analysis, it examines the gerontological concept of \"we-narrative\" (shared relational identity) to understand how identity, memory loss, and relational dynamics evolve.</p><p><strong>Results: </strong>Munro portrays Alzheimer's as both a medical condition and a social experience, fragmenting Fiona's sense of self and reshaping the couple's shared identity. Fiona's fading memories unravel her narrative, diminishing her autonomy, while Grant's shift from husband to caregiver redefines their relationship. The novella's disjointed structure reflects the cognitive chaos of Alzheimer's, deepening its emotional impact. The gerontological \"we-narrative,\" representing shared relational identity, reveals the enduring strength of their bond, as Grant's selfless actions highlight a transformed expression of love.</p><p><strong>Discussion: </strong>Dementia narrative features how caregivers' identity gradually forms through the lived experience of supporting a loved one with cognitive decline. These findings align with narrative gerontology's view that stories help individuals and caregivers navigate identity and loss. Munro's work challenges stereotypes about ageing, emphasizing the emotional complexity of caregiving and the resilience of human connections.</p><p><strong>Conclusion: </strong>Munro's novella powerfully illustrates Alzheimer's multifaceted effects, using narrative to explore identity, care, and relational adaptation in the context of ageing and illness.</p>","PeriodicalId":56062,"journal":{"name":"Philosophy Ethics and Humanities in Medicine","volume":"21 1","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13245022/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148207131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reconfiguring institutional authority through Mood: a cross-cultural systemic functional analysis of Egyptian and American medical drama.","authors":"Afnan Mohammed Ali Hassan, Nagwa Younis","doi":"10.1186/s13010-026-00220-7","DOIUrl":"10.1186/s13010-026-00220-7","url":null,"abstract":"<p><p>This study compares power dynamics in two culturally and generically distinct medical television series: the Egyptian comedy Balto (2023) and the American drama The Resident (2018). Drawing on Halliday's Systemic Functional Linguistics (SFL), particularly the Mood system, six scenes (three from each series) are analysed to show how declarative, interrogative, and imperative clauses construct hierarchy, authority, and resistance. The analysis reveals that in Balto, power is framed through humour and exaggeration, with interns positioned by softened or ironic speech, while senior doctors assert dominance in playful yet critical ways. In The Resident, authority is enforced through direct commands and evaluative questions that blur mentorship with intimidation. These contrasts demonstrate how genre and cultural context shape linguistic realizations of institutional power, highlighting Mood as a key resource for negotiating authority across divergent settings.</p>","PeriodicalId":56062,"journal":{"name":"Philosophy Ethics and Humanities in Medicine","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13248236/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148195124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Docendo discimus: promoting patient personhood in clinical supervision - a critical phenomenological study of reciprocal professional formation in medicine.","authors":"Josephine T V Greenbrook, Michael Ioannou, Aliénor H Lemieux-Cumberlege, Lena Gross","doi":"10.1186/s13010-026-00221-6","DOIUrl":"10.1186/s13010-026-00221-6","url":null,"abstract":"<p><strong>Background: </strong>Medicine has long been understood as both a scientific discipline and a moral and relational practice. Yet within contemporary hospital environments shaped by efficiency demands, digital infrastructures, and performance metrics, the promotion of a patient's personhood cannot be assumed to remain visible or structurally supported. Clinical supervision represents a central site in which professional values are embodied and transferred to the future generation of physicians, yet little is known about how supervisors themselves experience sustaining their own commitments to personhood within this context.</p><p><strong>Methods: </strong>This study explores how clinical supervisors experience fostering and sustaining the promotion of patient personhood while supervising medical students, interns, and residents in two Swedish university hospitals. Seventeen physicians participated in in-depth semi-structured interviews. Data analysis employed a critical phenomenological approach, enabling examination of both lived experiences and the institutional conditions shaping these.</p><p><strong>Findings: </strong>Two interrelated dimensions were identified. First, supervisors described actively rendering patient personhood visible and legitimate within clinical reasoning, translating relational attentiveness into recognised forms of professional competence, modelling humility within hierarchical settings, and protecting core humanistic values within organisational cultures. Second, they described sustaining personhood in their own work as ongoing moral work requiring development over time, reminders in practice, inspiration through interaction, and deliberate inner resolve. Promoting personhood, thus, emerged as reciprocal and cumulative, where through teaching, supervisors simultaneously renewed and reshaped their own ethical commitments.</p><p><strong>Conclusions: </strong>The findings suggest that patient personhood is not passively inherited within contemporary clinical environments but actively cultivated through supervisory and relational practice. By situating supervisors' experiences within organisational and cultural structures, the study contributes a theoretically grounded account of how medicine's dual character as both a technocratic and a humanistic practice is negotiated in everyday work. Ultimately, sustaining patient personhood, and promoting it in the future generation of physicians depends not only on supervisors' individual commitment but also on institutional conditions that either enable or constrain its visibility.</p>","PeriodicalId":56062,"journal":{"name":"Philosophy Ethics and Humanities in Medicine","volume":"21 1","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13231558/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148159027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}